Samantha Mints

NPI #1235778663 in Livonia, Michigan

Provider Information

NPI Number: 1235778663
Entity Type: Individual
Name: Samantha Mints
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician/Technologist
Enumeration Date: Jan 2, 2020
Last Updated: Jan 2, 2020

Practice Location

Address: 13973 FARMINGTON RD
City: Livonia
State: Michigan
ZIP Code: 48154-5403
Phone: (248) 621-4792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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